Doornbos, Debra Lee

Doornbos, Debra Lee is an sole proprietor health care provider with primary practice located at 840 E Hill Ave , Moses Lake WA 98837-2238. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Doornbos, Debra Lee can be contacted via phone (509) 663-8711.

Contact Information

Primary practice address
840 E Hill Ave Moses Lake WA 98837-2238
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP61102524 Washington

Profile Details

NPI number 1902117542
LBN Legal business name Doornbos, Debra Lee
Credentials FNP-BC, MSN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 29th, 2010
Last updated Jul 17th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902117542 NPPES
Alaska MEDICAID NP0218

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